Part A:

I am a flexible easy-going person.
I adjust to change rather easily.
I have never been able to wear contact lenses successfully.
I would be satisfied if my natural vision were greatly improved, even if I still
     had to wear corrective lenses some of the time.
Having to depend on glasses/contacts for clear vision bothers me.
I am not a perfectionist.
I often wish I did not have to wear corrective lenses.
I feel my appearance is better without glasses.
New career opportunities would be open to me if I did not have to wear
     glasses or contacts.
Good vision without glasses or contacts is more important than having
     great vision with them.
I find wearing corrective lenses restricts my participation in sports or other
     activities.
I fear I would be totally disabled if I lost my contacts of broke my glasses.

Part B:

I tend to be a perfectionist.
If after the laser procedure I still needed to wear corrective lenses I would
     be upset and frustrated.
It doesn’t bother me to wear contact lenses. They give me excellent vision
     for all activities, are comfortable and are not a hassle to handle.
I don’t accept change easily.
When things don’t happen in just the way I had planned or expected I get
     upset or stressed easily.
If I did not end up with perfect vision after my procedure I would be upset
     and consider the experience a failure.
I don’t mind wearing glasses and would feel uncomfortable without them.
I am aware of restrictions regarding my position with my employer that
     pertain to laser vision correction (if you are uncertain, please ask—it is
     your responsibility).

_________Number of statements you agree with in Part A

_________Number of statement you agree with in Part B